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NPI Code Detail

MEDICARE: EVERLIGHT THERAPY LLC

MEDICARE: EVERLIGHT THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1518855295
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVERLIGHT THERAPY LLC
Provider Business Mailing Address
First Line : 3130 N ARIZONA AVE STE 106
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-7163
Country : US
Telephone Number : 480-745-4935
Fax Number :
Provider Business Practice Location Address
First Line : 1347 N ALMA SCHOOL RD STE 200
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-5932
Country : US
Telephone Number : 480-745-4935
Fax Number :
Authorized Official
Title or Position : CLINICIAN/ADMIN
Name : CRYSTAL RANE BROWN
Credential :
Telephone Number : 480-745-4935
Provider Enumeration Date : 06/24/2025
Last Update Date : 05/07/2026

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Directions to “EVERLIGHT THERAPY LLC ” Practice Location

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